Longitudinal change in magnetic susceptibility of new enhanced multiple sclerosis (MS) lesions measured on serial quantitative susceptibility mapping (QSM).

Publication Type Academic Article
Authors Zhang Y, Gauthier S, Gupta A, Comunale J, Chia-Yi Chiang G, Zhou D, Chen W, Giambrone A, Zhu W, Wang Y
Journal J Magn Reson Imaging
Volume 44
Issue 2
Pagination 426-32
Date Published 01/22/2016
ISSN 1522-2586
Keywords Aging, Algorithms, Brain, Image Interpretation, Computer-Assisted, Multiple Sclerosis, Subtraction Technique
Abstract PURPOSE: To measure the longitudinal change in multiple sclerosis (MS) lesion susceptibility using quantitative susceptibility mapping (QSM). MATERIALS AND METHODS: The study was approved by our Institutional Review Board. Longitudinal changes in quantitative susceptibility values of new enhanced-with-Gd MS lesions were measured at baseline magnetic resonance imaging (MRI) and on a follow-up MRI in 29 patients within 2 years using a 3D multiple echo gradient echo sequence on a 3T scanner. Paired t-test and the generalized estimating equations (GEE) model was used to analyze the longitudinal change. RESULTS: Lesion susceptibility values relative to normal-appearing white matter (NAWM) changed from 3.61 ± 6.11 ppb when enhanced-with-Gd at the baseline MRI to 20.42 ± 10.23 ppb when not-enhanced-with-Gd at the follow-up MRI (P < 0.001). CONCLUSION: MS lesion susceptibility value increases significantly as the lesion evolves from enhanced-with-Gd to not-enhanced-with-Gd, serving as a disease biomarker. J. Magn. Reson. Imaging 2016;44:426-432.
DOI 10.1002/jmri.25144
PubMed ID 26800367
PubMed Central ID PMC4946979
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